Richie Balla, HHA

Individual provider Active NPI Contractor · Washington, DC

NPI 1306194170 · NPPES record last updated Aug 27, 2012

Key facts

NPI
1306194170
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
855 21St St NE Apt 1
Washington, DC 20002-4140
Phone
(202) 500-3001
NPI assigned
Aug 27, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

855 21St St NE Apt 1
Washington, DC 20002-4140

Mailing address

3624 Pear Tree CT Apt 32
Silver Spring, MD 20906-5516
Phone (240) 893-0234

Other providers in Washington, DC

All providers in Washington, DC · Contractor in District of Columbia

Sources for this page

Verify at the official NPI Registry.